Schaeffer Home School Cooperative
2009-2010
Sign-up Form

Please provide the following contact information:

Student First Name
Last Name
Parent Name:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Cell Phone
Home Phone
Parent E-mail
Student E-mail

Please check all of the courses that you are interested in signing up for:

High School World Regional Geography (Full Year, Tuesdays from 10am-12noon)
Junior World Regional Geography (Wednesdays from 10am-12noon, Fall Semester only)
Fundamentals of Digital Photography SPRING SEMESTER (Wednesdays from 12:30pm-2:30pm)
Digital Photography 2 - a continuation from the Intro to Digital Photography course - this will likely be offered in the fall of 2010 - please sign up here if you want to be notified when the course is officially launched
World Regional Geography - Spring Semester - ROCKVILLE LOCATION- a one semester course held at the School For Tomorrow campus in Rockville

Please check the appropriate boxes:

Date of Birth
Sex	Male Female

Grade in School (as near as possible)

Are you aware that these courses may be on different days of the week? May not be applicable for some people...

Yes
No

Please list any additional emails that the student may use (very helpful for the teacher):

Student E-mail

These courses each incur a cost of their own. Be careful to assess this cost carefully before signing up. If you are aware of the individual course costs are you willing and able to pay these cost? Please answer yes or no and also use this spot to write any questions or concerns. Refunds are not given unless there are extreme circumstances such as illness or relocation. In these cases a pro-ration will be determined between the instructor and the parent.